Medicaid PI Quick Start: Patient Electronic Access

Measure Overview Medicaid Goal
This measure reports the percentage of patients who have timely access to view, download, and transmit their personal health information on the patient portal after every visit during the measurement period. Additionally, the practice must make it possible for the patient to access health information, using any application of their choice, through an application program interface (API).

Must Exceed 80%
Setup Requirements

You must configure which lab results are available on the Greenway Patient portal to be compliant for this measure. If your Prime Suite system is setup to send no results to the patient portal, you will be out of compliance for this measure. See the Configure Greenway Patient Defaults section in the System Defaults topic in the Prime Suite help for more information.
Denominator

Patients with at least one non-voided face-to-face visit during the measurement period.

The measurement period is set in Prime Suite Reporting 2020.
Numerator

Patients where all the following occurred within 48 hours of their qualifying visit:

  • The patient was invited to the patient portal indicated by the Patient Portal Invite or Patient Portal flag. If the patient declines portal access, the Patient Portal Invite flag must be manually added to the patient's chart.
  • The patient was provided with an API token indicated by the Patient Token flag. If the patient declines API access, the API Opt-out flag must be added to their chart.
  • The provider signed their visit note(s).
  • The provider made the Clinical Visit Summary available if the patient is registered for the patient portal. If they are not registered, this step is not necessary.
  • The provider signed all outside labs and imaging reports within 48-hours of the report being saved to the patient’s chart.